BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HORIZON MEDICAL PRODUCTS INC.

    MDR report key: 196640 · Received November 13, 1998

    Report

    Report Number
    196640
    Event Type
    Malfunction
    Date Received
    November 13, 1998
    Date of Event
    October 16, 1998
    Report Date
    October 30, 1998
    Manufacturer
    HORIZON MEDICAL PRODUCTS
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    KS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PORT A CATH (LIFEPORT) WAS LEAKING. NO TENDERNESS. NO ERYTHEMA. NO EDEMA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HORIZON MEDICAL PRODUCTS INC. Implant LIFEPORT LJT HORIZON MEDICAL PRODUCTS * 14540

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Other